Skip to content

Mastectomy Surgery in Puyallup, WA

A Mastectomy is a surgical procedure performed to remove the entire breast. All of the breast tissue is removed and can include adjacent tissue. There are four types of mastectomies which include:

Simple (Total) Mastectomy

This is the most common type of breast cancer surgery, and simple means the entire breast is removed. This is especially common for women with ductal carcinoma in situ (DCIS) and for women looking to prevent any possibility of breast cancer occurring.

Key points of a simple mastectomy:

  • Mastectomy is a common resolution for breast cancer.
  • Removal of the entire breast.
  • Does not affect lymph nodes under the arm.
  • Does not affect muscle tissue beneath the breast.
  • Sometimes, both breasts are removed (Double Mastectomy)

Modified radical mastectomy

This procedure is typically done for patients with invasive breast cancer. The main difference with the modified radical mastectomy and the simple mastectomy is that the surgeon will remove the lymph nodes under the arm as well for examination, which isn’t done during the simple mastectomy. Examining lymph nodes helps determine if the cancer has spread to other parts of the body beyond the breast.

Key points of a modified radical mastectomy:

  • The surgeon removes the entire breast
  • Axillary lymph node (nodes beneath the arm) dissection is performed
  • No muscles are removed from beneath the breast

Radical mastectomy

The radical mastectomy is the most extensive mastectomy procedure. This is only done if the cancer has spread to the chest muscles under the breast. This procedure is rarely done, and modified radical mastectomy is usually done its place, since it is less disfiguring.

Key points of a radical mastectomy:

  • This surgical procedure involves the removal of the entire breast, the lymph nodes under the arm and the chest wall muscles under the breast.
  • This is an uncommon procedure
  • Modified radical mastectomy is a more common procedure now.
  • However for large tumors growing into the muscles under the breast, it may still be done.

Skin-sparing mastectomy

A skin-sparing mastectomy isn’t mutually exclusive to the other forms of mastectomy. A skin-sparing mastectomy can also be a simple, total or even a modified radical mastectomy. This procedure tries to be as efficient as possible in creating openings to remove cancerous tissue. The skin from the nipple, areola and scarred skin from the original biopsy are removed and through those openings, tissue is removed from the breast. The remaining pouch of skin created the best form to immediately do a reconstructive surgery. Many women opt for this kind of procedure because it yields the most realistic results.

Key points of a skin-sparing mastectomy:

  • A skin-sparing mastectomy is not usually performed if you’ve decided that you will not have immediate breast reconstruction
  • A skin-sparing mastectomy is not safe if there is a possibility that tumor cells are close to the skin
  • Skin-sparing mastectomy leaves most of the skin over the breast intact
  • The procedure works as well as the simple mastectomy with less scar tissue and a more natural looking reconstructed breast.

Nipple-sparing Mastectomy

Like the skin-sparing mastectomy, the nipple-sparing mastectomy can be in combination with the various types of mastectomy procedures. In this case, the nipple is also left alone.

Partial Mastectomy

This is very similar to a lumpectomy, in that only a portion of the cancerous breast tissue is removed. This is done if detected in the very early stages of cancer. However, more tissue is removed during a partial mastectomy than in a lumpectomy.

If you have any questions, or would like to schedule an appointment in the Puyallup area, contact Northwest Medical Specialties at (253) 428-8700.

HEALTH ALERT! For the safety of our patients and staff only patients will be allowed into our clinics and everyone MUST wear a mask. See additional information regarding the Coronavirus (COVID-19).


November 16, 2020 Update

During these difficult times we are making every effort to keep our patients and staff safe from COVID 19, we appreciate your patience and understanding with the changes you may have seen within our practice.

We strive to protect our patients and staff as much as we possibly can from any exposure on our premises.  NWMS has implemented a system wide policy that does not allow anyone in the building that is not a patient and everyone must wear an NWMS provided mask over their mouth and nose during their time on our premises.  This is to protect our vulnerable patients from the unforeseen possibility of exposure to COVID 19 which can be transmitted through aerosol droplets.  Sadly, we have had patients that have died from the complications of COVID 19, which is both devastating and preventable.

We offer a virtual visit option for family, friends, and companions to participate in the care of our patients through Zoom.  Our staff will assist you with every step of the login process and invite you to participate in real time from your vehicle or designated safe space in our building. Please contact us at 253-428-8700 to set this up.

The following offices are temporarily closed:

  • Bonney Lake
  • Federal Way

If you are experiencing cold or flu symptoms, please make sure to contact us via phone prior to your appointment. You may also contact us for any additional questions by calling our office at (253) 428-8700.

Here are a few additional resources as well:

World Health Organization

Centers for Disease Control